DR. CAMERON DAVID ADKISSON (NPI# 1205080652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205080652 |
| Entity Type | Individual |
| Full Name | DR. CAMERON DAVID ADKISSON |
| Credential | MD |
| Practice Address |
14540 Old Saint Augustine Rd 2571 Jacksonville FL 32258-7418 |
| Mailing Address |
11945 San Jose Blvd #300 Jacksonville FL 32223-1613 |
| Practice Telephone | 9048862251 |
| Practice Fax Number | 9048867151 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043991717 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME105034 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 57500 | MN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD447547 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS-FL | I506J | 01 |
| Street Address |
14540 OLD SAINT AUGUSTINE RD 2571 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023445 | John Michael Tierney | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2201, Jacksonville, FL 32258-7418 | 2005-06-14 |
| 1083153365 | Baptist-southeast Gynecologic Oncology Associates Inc | Obstetrics & Gynecology | 14540 Old Saint Augustine Rd, Suite 2593, Jacksonville, FL 32258-7418 | 2017-02-20 |
| 1760851521 | Lindsay Choate | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 | 2015-09-22 |
| 1639505035 | Baptist Neurology Inc | Psychiatry & Neurology | 14540 Old Saint Augustine Rd, Suite 2599, Jacksonville, FL 32258-7418 | 2013-09-18 |
| 1275975047 | Christi Burnett Paul | Nurse Practitioner | 14540 Old Saint Augustine Rd, Suite 2207, Jacksonville, FL 32258-7418 | 2013-07-22 |
| 1215378203 | Alana Michelle Weatherly | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418 | 2013-07-08 |
| 1801150594 | Matthew Theodore Swiatowicz | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 | 2012-06-27 |
| 1215233184 | Sunshine Spine and Pain Pa | Specialist | 14540 Old Saint Augustine Rd, Mob 2 Suite 2397, Jacksonville, FL 32258-7418 | 2011-02-09 |
| 1679802904 | Baptist Primary Care Inc | Internal Medicine | 14540 Old Saint Augustine Rd, Suite 2307, Jacksonville, FL 32258-2460 | 2009-12-16 |
| 1851530216 | Alyssa A Paetau | Surgery | 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7418 | 2009-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1922577626 | Grettel Wentling | Surgery | 7915 Turnstone Cir E, Jacksonville, FL 32256-2358 | 2018-11-26 |
| 1083030977 | Min Li Xu | Surgery | 2 Shircliff Way Ste 500, Jacksonville, FL 32204-4763 | 2014-03-15 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1437414935 | Daniel Richard Martin | Surgery | 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 | 2012-07-10 |
| 1356602221 | Jan-michael Van Gent | Surgery | Navy Medicine Support Command Attn: Medical Staff Serv., Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-06-06 |
| 1710245840 | Lenka Zachar Md Plc | Surgery | 3 Shircliff Way Ste 500, Jacksonville, FL 32204-4757 | 2012-04-26 |
| 1992015812 | Ashok Roychoudhury, M.d., P.a. | Surgery | 2032a Southside Blvd, Jacksonville, FL 32216-1944 | 2010-10-13 |
| 1558682054 | Jonathan Robert Gower | Surgery | Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2010-06-18 |
| 1851612683 | Jason Bradley Brill | Surgery | Bldg H 2005 Knight Ln, Navy Medicine Support Command, Attn Medical Staff Serv, Jacksonville, FL 32212 | 2010-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.